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NON-HAZ DOUS WASTE MANIFEST <br /> , FORWARD � WASTE TRE-},m MENT AND DISPOSAL FACILITY <br /> /NC_ JOB ACCEPTANCE N0. <br /> SHR n76Z <br /> GENERATOR _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SILVA TRUPKING, INC. ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 2119 W. ALPINE AVE . <br /> CITY,STATE, ZIP SPECIAL HANDLING PROCEDURES: <br /> , <br /> ' STOCKXTON , CA 95204 <br /> PHONE - <br /> 1209) 982-1114 <br /> CON iACT PERSON <br /> DAVE SILVA <br /> SIGNATURE,OF AUTHORIZED AGENT / TITLE DATE <br /> WASTE TYPE " - RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • El DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> El CONSTRUCTION SOIL F-1ASHASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 36 N . MATHEIJS RD . <br /> FRENCH CAMP , CA (209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> RICH HAMITLON TRUCKING <br /> ADDRESS <br /> 1336 PAULINE AVE . <br /> • CITY,STATE,ZIP <br /> MODESTO, CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> (20 9) 578-4106 Q ❑ ❑ <br /> SIGNATURE OF AUTHORyfED AGE DRIVER DATE ROLL-OFF(S) FLAT-BED VAN -DRUMS <br /> / ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPO AL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ DISPOSE - BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when -- <br /> conditions are expected to change such that Forward will be able to accept <br /> • the waste. ❑ SLUDGE <br /> s - <br /> REMARKS <br /> ❑ NON-FRIABLE _ - <br /> ASBESTOS <br /> FACILITY TICKET NUMBER - <br /> //``71 ❑ WOOD <br /> SIGN RE O HORIZ AGENT /�J DATE <br /> (" <br /> eE <br /> ASHiAUOTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209) 982-4298 14759 <br /> MANIFEST # <br /> TRANSPORTER COPY <br />